Procedures

Urostomy Teaching 2216

SN Instructed to the urostomy care: How to change the Urostomy bag: Prepare the new bag. Gather everything you need in the bathroom: plastic bags, toilet paper, paper towels or a soft washcloth, a clean cloth wipe, an additional skin barrier in the form of a paper towel (if desired) and a new bag.If the bag you use does not come with a skin barrier already made, take the measurements and now form the opening with scissors. Slowly remove the skin barrier lining. Put aside the skin barrier. Empty the used bag before removing it. To empty the bag, sit on the toilet or stand in front of it: Remove the used bag. To remove the used bag, sit on the toilet or stand in front of it. Carefully separate the skin from the skin barrier with one hand. To do this, start at the top edge of the skin barrier. With the other hand, slowly release the skin barrier from top to bottom. Seal the used bag tightly inside a plastic bag and dispose of it in the trash: Clean the area around the stoma. Use toilet paper to clean urine and mucus in the stoma or the skin around it. Clean the skin with warm water and a soft cloth wipe or a paper towel. Clean up to the stoma border. You can also do this while showering. Dry the skin without rubbing, using a clean towel; and Place the new bag. Use a folded paper towel or a piece of gauze to keep the stoma dry while placing the new pouch. Once you have changed the bag, wash your hands.

Foot care Teaching 2213

Instructed patient to cleanse feet daily, dry thoroughly especially in between toes. Examine feet daily for bruises/sores/blisters, if any noted, notify MD asap. (use a mirror if needed to visualize) Wear proper fitting shoes and wear slippers/shoes at all times, and exercise feet daily. Demonstrated feet exercises, verbalized understanding.

Colostomy care Teaching 2202

Ostomy care Instructed patient If you are using paste, it may be easier to remove the paste before you wet the area. Some people may 
use adhesive remover. Do not worry if a little bit of paste is left on your skin.

Colostomy care Teaching 2201

Ostomy care Instructed patient Always dry your skin well before putting on your new pouching system.

Colostomy care Teaching 2200

Ostomy care instructed patient unless recommended, do not apply powders or creams to the skin around your 
stoma because they can keep your skin barrier from sticking.

Colostomy care Teaching 2199

Colostomy care Instructed patient caregiver put your soiled pouching system into a plastic bag and throw it away in your household
 garbage. It is recommended to empty your pouch into the toilet first.

Colostomy care Teaching 2198

Colostomy Care Instructed patient caregiver check the stoma and skin around the stoma to make sure there are no problems.

Colostomy care Teaching 2197

Colostomy care Instructed patient caregiver If there are no problems, wipe around the stoma with the skin wipes. If the skin is a little wet,
 sprinkle some stoma powder on the wet area. Let the area air dry for a few minutes.

Colostomy care Teaching 2196

Ostomy care Rinse the soap off the skin around your stoma very well because the residue may keep your skin barrier from sticking and may also cause skin irritation.

Colostomy care Teaching 2195

Ostomy care It is not necessary to use soap to clean around your stoma. But if you prefer to use soap, use a very mild soap. Avoid using soaps and cleansers with oils, per - fumes, or deodorants since these can sometimes cause skin problems or keep your skin barrier from sticking.